The firm was co-founded in 1969 by Richard Kitch and Richard F. Suhrheinrich (now a Senior Federal Sixth Circuit Court of Appeals Judge), both experienced litigators, especially in malpractice and products liability cases. While many firms have grown primarily through mergers and acquisitions, the Kitch firm has experienced all of its growth to date through its focus on strong client partnerships, leadership in the practice of law, and successful business practices. The firm has grown from four attorneys in 1969 to 19 attorneys in 1980 to over 100 attorneys. Although the Kitch firm began as a medical malpractice defense firm, and continues to be recognized as one of the premier medical malpractice defense firms in the industry, it is today a full-service firm. The Kitch firm expanded to meet the other legal needs of its healthcare clients as those clients grew during the '80s and '90s, and into the new millennium. The firm successfully expanded to provide the same uniquely tailored high quality services beyond the healthcare industry. The firm now covers such diverse areas as immigration, government regulation and litigation, estate planning, labor and employment, corporate, criminal investigations and prosecutions, commercial real estate, commercial litigation, trucking, Long term care, insurance and real estate law and finance, among many others.